Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $9.06 / $810.00	Facility		$0.09	$9.06	$810.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.09 / $95.22	Professional		$0.08	$0.09	$95.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $9.00 / $46.00	Professional		$9.00	$9.00	$46.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.10 / $0.12	Facility		$0.08	$0.10	$0.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.10 / $1.94	Professional		$0.08	$0.10	$1.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $0.37 / $0.39 / $1.84	Facility		$0.37	$0.39	$1.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.32	Professional		$0.12	$0.12	$0.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.08 / $0.08	Facility		$0.08	$0.08	$0.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.12	Professional		$0.08	$0.08	$0.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.08 / $0.10	Professional		$0.05	$0.08	$0.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.10 / $0.18	Professional		$0.07	$0.10	$0.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $774.41 / $774.41 / $774.41	Professional		$774.41	$774.41	$774.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.16 / $60.00	Professional		$0.08	$0.16	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.11 / $11.54	Facility		$0.08	$0.11	$11.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.11	Professional		$0.08	$0.08	$0.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.20	Professional		$0.20	$0.20	$0.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.09 / $0.12	Professional		$0.07	$0.09	$0.12
United Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.18	Professional		$0.08	$0.08	$0.18